NPI | 1316435936 |
---|---|
Doing Business As | ST CLAIR MEDICAL GROUP CARDIAC SURGERY |
Former Legal Business Name | ST CLAIR CARDIOVASCULAR SURGERY ASSOCIATES |
Entity Type | Organization |
Authorized Contact | PAMALYN PATNESKY Credentialing Specialist 412-942-2548 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Additional Taxonomies | 208600000X Surgery |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2018-04-30 |
Last Update Date | 2021-10-05 |